Marzan-Rodriguez Melissa, Rodriguez-Diaz Carlos E, Mustanski Brian
University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico; Ponce Health Sciences University, Ponce, Puerto Rico.
University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico; George Washington University, Washington, DC, USA.
Sex Res Social Policy. 2021 Dec;18(4):992-1001. doi: 10.1007/s13178-020-00494-2. Epub 2020 Aug 26.
Epidemiological trends in the USA have shown an increase in HIV incidence among adolescent men who have sex with men (AMSM). Sexual and ethnic minorities in this group are at increased risk for infection. The use of health services and information delivered or enhanced through the Internet or related technologies-known as eHealth-is an important strategy to reduce HIV disparities and to engage with some minority populations such as Spanish-speaking Latino AMSM. Despite the new opportunities that eHealth provides, little is known about the implementation of such interventions for HIV prevention among Spanish-speaking Latino AMSM.
A systematic literature review was conducted to examine eHealth HIV prevention interventions targeted to Spanish-speaking Latino AMSM. A systematic search using PubMed database was conducted to identify peer-reviewed publications between January 1, 2006, and May 31, 2019. Eligible publications were those including (1) adolescents ages 13 to 18 years old as its main population, (2) described and tested HIV prevention interventions, (3) AMSM, (4) eHealth interventions, and (5) Latino/Hispanic participants.
A total of n = 52 publications were identified. From those, only n = 12 (27.3%) were targeted to AMSM (13-18 years old) and Latino/Hispanic populations, and there was no evidence of interventions addressing eHealth HIV prevention interventions targeted to Spanish-speaking Latino AMSM.
Results indicate the scarcity of scientific evidence of eHealth interventions targeted to populations at increased risk for infection. Further, there is a call for the development of culturally and linguistically congruent eHealth HIV prevention interventions for Spanish-speaking Latino youth and to consider implementation and methodological approaches for these populations.
美国的流行病学趋势显示，男男性行为青少年（AMSM）中的艾滋病毒发病率有所上升。该群体中的性少数群体和少数族裔感染风险更高。利用通过互联网或相关技术提供或加强的卫生服务和信息，即所谓的电子健康，是减少艾滋病毒差异并接触一些少数群体（如讲西班牙语的拉丁裔AMSM）的重要策略。尽管电子健康带来了新机遇，但对于针对讲西班牙语的拉丁裔AMSM开展的此类艾滋病毒预防干预措施的实施情况却知之甚少。
进行了一项系统的文献综述，以研究针对讲西班牙语的拉丁裔AMSM的电子健康艾滋病毒预防干预措施。使用PubMed数据库进行了系统检索，以识别2006年1月1日至2019年5月31日期间的同行评审出版物。符合条件的出版物包括：（1）以13至18岁青少年为主要人群；（2）描述并测试了艾滋病毒预防干预措施；（3）男男性行为青少年；（4）电子健康干预措施；（5）拉丁裔/西班牙裔参与者。
共识别出n = 52篇出版物。其中，仅有n = 12篇（27.3%）针对男男性行为青少年（13 - 18岁）和拉丁裔/西班牙裔人群，且没有证据表明存在针对讲西班牙语的拉丁裔AMSM的电子健康艾滋病毒预防干预措施。
结果表明，针对感染风险较高人群的电子健康干预措施的科学证据匮乏。此外，需要为讲西班牙语的拉丁裔青少年开发文化和语言适配的电子健康艾滋病毒预防干预措施，并考虑针对这些人群的实施和方法。
